Search › Georgia › Surgery Physician
Richard Jacob, MD
NPI 1316061179 · on the registry since 2007
Practice
- Address
- 2151 W Spring St Ste B210
Monroe, GA 30655 - Phone
- (770) 207-5738
- Fax
- (770) 266-7346
- Organisation at this address
- Irad, Inc.
Monroe Hma, Llc
Piedmont Walton Hospital Inc
Hospital Physician Services - Southeast Professional CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-19
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia